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1941. Identifying errors and safety considerations in patients undergoing thrombolysis for acute ischemic stroke. | PSNet
      psnet.ahrq.gov/issue/identifying-errors-and-safety-considerations-patients-undergoing-thrombolysis-acute-ischemic
      February 09, 2022 - June 1, 2022 Weekend effect on in-hospital mortality for ischemic and hemorrhagic stroke … in US rural and urban hospitals. … a VA hospital: design and outcomes. … August 17, 2022 Weekend effect on in-hospital mortality for ischemic and hemorrhagic … stroke in US rural and urban hospitals.

1942. Patient safety and image transfer between referring hospitals and neuroscience centres: could we do better? | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-image-transfer-between-referring-hospitals-and-neuroscience-centres-could
      July 19, 2023 - Study Patient safety and image transfer between referring hospitals and neuroscience … hospital practice: factors associated with turnover, outcomes, and patient safety. … a multistate hospital network--13 academic medical centers, April-June 2020. … September 7, 2022 Changes in cancer detection and false-positive recall in mammography … April 24, 2019 Types of diagnostic errors in neurological emergencies in the emergency

1943. The PROMISES Project. | PSNet
      psnet.ahrq.gov/issue/promises-project
      January 30, 2019 - A past AHRQ WebM&M perspective explored patient safety in the office setting. … October 5, 2022 The hospital ran out of her child's cancer drug. … November 14, 2011 Primary care–relevant interventions to prevent falling in older adults … March 3, 2010 Medication errors in family practice, in hospitals and after discharge … from the hospital: an ethical analysis.

1944. Early Mobility in the Intensive Care Unit: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-slides.html
      February 01, 2017 - , ICU/hospital LOS, or discharge location. … Subjects: Eight-bed respiratory ICU in a community hospital: 103 patients. … Slide 14: Adverse Events 4 9 patients had 14 adverse event (<1% of activities): Falls to knees … Adverse events ranged from agitation to transient physiological events to dislodgements and to falls … (none of the falls were considered serious).

1945. Long-Term Care | Digital Healthcare Research
      digital.ahrq.gov/type-care/long-term-care
      January 01, 2023 - A Roadmap for Research: The International Summit on Innovation and Technology in … experts from the United States and abroad to define priorities and goals for researching technology use in … Long-Term Post-Acute Care (LTPAC), and to identify factors that support or hinder its adoption in LTPAC … voluntary movement paths of assisted living facility residents to see if it was greater in patients … information system that allowed health information sharing and permitted real-time order placement by hospitals

1946. Harborview Medical Center Uses AHRQ’s Quality Indicators To Improve Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/202504.html
      June 01, 2025 - Since adopting QIs in 2011, the hospital has reduced the percentage of potentially preventable blood … PSIs are a subset of QIs that focus on in-hospital safety issues, specifically for adverse events that … The latter two areas are primarily concerned with PSIs for pressure ulcers and falls. … The hospital has made great strides in improving patient safety as indicated by its improved PSI 90 scores … 2014 to 0.953 in 2024.

1947. Wandering Off the Floors: Safety and Security Risks of Patient Wandering | PSNet
      psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
      August 21, 2007 - Initially he had been confused in the setting of alcohol withdrawal, but by hospital day 6 his mental … Limited evidence describes what specifically motivates patients to wander while in an acute care hospital … or unit without assistance place themselves at risk for specific complications, including slips and falls … Missing hospital patient's body found in canyon. NBCSanDiego.com. June 1, 2013. … Hospitals and asylums. In: American Jurisprudence. Vol 40A. 2nd ed.

1948. Compendium of U.S. Health Systems, 2023, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2023-compendium-techdoc.pdf
      January 01, 2023 - Specialty care only a CHA owns hospitals outside the United States and one hospital in the United States … Children’s hospitals are identified if the hospital facility type was listed as children in HCRIS.xvi … general acute care hospital beds in the system are in children’s hospitals. … For example, if a system had two hospitals and one hospital reported not offering an MA product in 2022 … hospitals in the system.

1949. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49791/psn-pdf
      April 01, 2017 - The fall occurred as she attempted to sit down in the bathroom and missed the toilet, falling backwards … On the first hospital day, the patient continued to have difficulty with maximal inspiration because … These protocols and checklists should be implemented in any location in any hospital where an invasive … Vincent's Hospital, Melbourne Melbourne Medical School Faculty of Medicine, Dentistry and Health Sciences … Melbourne Parkville, Victoria, Australia Yoshiaki Uda, MBBS Department of Anesthesia Toronto General Hospital

1950. Strategies to Better Engineer Safety into Healthcare Delivery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/safety-engineering-strategies.pdf
      March 06, 2025 - Hospitals: A Toolkit for Improving Quality of Care  • OSHA Safe Patient Handling Information and … how a participatory design process focused on preventing falls can change assumptions about design … By addressing these aspects, the study aims to improve patient room design and reduce the risk of falls … Implementation Support Resources AHRQ • Transforming Hospitals: Designing for Safety and Quality  … Practical Guide (Abstract Only) • Occupational Health and Safety Administration (OSHA) eTool for Hospitals

1951. Improving nurse-to-patient staffing ratios as a cost-effective safety intervention. | PSNet
      psnet.ahrq.gov/issue/improving-nurse-patient-staffing-ratios-cost-effective-safety-intervention
      May 14, 2008 - a multistate hospital network--13 academic medical centers, April-June 2020. … intensive care unit in Thailand. … January 5, 2011 Nurse staffing in hospitals: is there a business case for quality? … March 5, 2010 Hospital nurse staffing and patient mortality, emotional exhaustion, and … Safety Agenda August 1, 2005 View More See More About The Topic Hospitals

1952. Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/implementation-rapid-response-team-decreases-cardiac-arrest-outside-intensive-care-unit
      September 26, 2012 - The investigators analyzed data on the use of a rapid response team (RRT) in their hospital and found … January 22, 2025 Cost-benefit analysis of a medical emergency team in a children's hospital … July 6, 2011 A 5-year analysis of rapid response system activation at an in-hospital … January 19, 2011 Establishing a rapid response team (RRT) in an academic hospital: one … February 13, 2008 View More See More About The Topic Hospitals Critical

1953. Evidence summary and recommendations for improved communication during care transitions. | PSNet
      psnet.ahrq.gov/issue/evidence-summary-and-recommendations-improved-communication-during-care-transitions
      October 19, 2022 - March 27, 2019 Families as partners in hospital error and adverse event surveillance. … July 5, 2017 Safety concerns of hospital-based new-to-practice registered nurses and … hospital practice: factors associated with turnover, outcomes, and patient safety. … September 1, 2015 Association between unmet nonmedication needs after hospital discharge … July 8, 2009 View More See More About The Topic Hospitals Ambulatory

1954. A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals. | PSNet
      psnet.ahrq.gov/issue/theory-driven-longitudinal-evaluation-impact-team-training-safety-culture-24-hospitals
      October 16, 2019 - 24 hospitals. … A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals … A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals … December 22, 2010 Exploring relationships between hospital patient safety culture and … and Safety Professionals Organizational Behaviorists General Internal Medicine Hospital Medicine

1955. Prevalence of potentially inappropriate prescribing in older people in primary care and its association with hospital admission: longitudinal study. | PSNet
      psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-prescribing-older-people-primary-care-and-its
      September 28, 2016 - older people in primary care and its association with hospital admission: longitudinal study. … with hospital admission: longitudinal study. … with hospital admission: longitudinal study. … , and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective chart … on discharge from hospital: an observational and interventional study.

1956. Is there a relationship between high-quality performance in major teaching hospitals and residents' knowledge of quality and patient safety? | PSNet
      psnet.ahrq.gov/issue/there-relationship-between-high-quality-performance-major-teaching-hospitals-and-residents
      July 21, 2010 - Is there a relationship between high-quality performance in major teaching hospitals and residents' knowledge … Is there a relationship between high-quality performance in major teaching hospitals and residents' knowledge … major teaching hospitals. … January 12, 2022 Effect of nonpayment for preventable infections in U.S. hospitals. … February 24, 2011 An anesthesiology department leads culture change at a hospital system

1957. A new approach of assessing patient safety aspects in routine practice using the example of "doctors handwritten prescriptions." | PSNet
      psnet.ahrq.gov/issue/new-approach-assessing-patient-safety-aspects-routine-practice-using-example-doctors
      April 24, 2019 - solutions to increase patient safety in the hospital: a mixed methods study. … April 26, 2023 Patients' and providers' perceptions of the preventability of hospital … August 12, 2009 Errors and omissions in hospital prescriptions: a survey of prescription … writing in a hospital. … February 28, 2009 View More See More About The Topic Hospitals Health

1958. Crying wolf, alarm safety and management in paediatrics: a scoping review. | PSNet
      psnet.ahrq.gov/issue/crying-wolf-alarm-safety-and-management-paediatrics-scoping-review
      April 24, 2018 - This review highlights alert fatigue in pediatric and neonatal hospital wards along with successful … hospital error and adverse event surveillance. … May 19, 2021 Risk-adjusted survival for adults following in-hospital cardiac arrest by … 24 hospitals. … Hospitals Pediatrics Neonatology and Intensive Care Alert fatigue View More

1959. Strategies for improving patient safety culture in hospitals: a systematic review. | PSNet
      psnet.ahrq.gov/issue/strategies-improving-patient-safety-culture-hospitals-systematic-review
      February 14, 2017 - Review Strategies for improving patient safety culture in hospitals: a systematic … Strategies for improving patient safety culture in hospitals: a systematic review. … Strategies for improving patient safety culture in hospitals: a systematic review. … public hospitals. … hospital practice: a review.

1960. Hospital Compare. | PSNet
      psnet.ahrq.gov/issue/hospital-compare
      May 26, 2021 - July 1, 2020 Coronavirus Commission for Safety and Quality in Nursing Homes. … Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective … (CAH) Changes to Promote Innovation, Flexibility, and Improvement in Patient Care; Proposed Rule. … December 22, 2014 HealthGrades Seventh Annual Patient Safety in American Hospitals Study … October 25, 2013 HealthGrades Sixth Annual Patient Safety in American Hospitals Study